Data Entry: Please note that the research database will be replaced by UNIverse by the end of October 2023. Please enter your data into the system https://universe-intern.unibas.ch. Thanks
A surgical safety checklist to reduce morbidity and mortality in a global population
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID
1194336
Author(s)
Haynes, Alex B; Weiser, Thomas G; Berry, William R; Lipsitz, Stuart R; Breizat, Abdel-Hadi S; Dellinger, E Patchen; Herbosa, Teodoro; Joseph, Sudhir; Kibatala, Pascience L; Lapitan, Marie Carmela M; Merry, Alan F; Moorthy, Krishna; Reznick, Richard K; Taylor, Bryce; Gawande, Atul A; Safe Surgery Saves Lives Study Group
A surgical safety checklist to reduce morbidity and mortality in a global population
Journal
The New England journal of medicine
Volume
360
Number
5
Pages / Article-Number
491-9
Abstract
Background: Surgery has become an integral part of global health care, with an estimated 234 million operations performed yearly. Surgical complications are common and often preventable. We hypothesized that a program to implement a 19-item surgical safety checklist designed to improve team communication and consistency of care would reduce complications and deaths associated with surgery.Methods: Between October 2007 and September 2008, eight hospitals in eight cities (Toronto, Canada; New Delhi, India; Amman, Jordan; Auckland, New Zealand; Manila, Philippines; Ifakara, Tanzania; London, England; and Seattle, WA) representing a variety of economic circumstances and diverse populations of patients participated in the World Health Organization's Safe Surgery Saves Lives program. We prospectively collected data on clinical processes and outcomes from 3733 consecutively enrolled patients 16 years of age or older who were undergoing noncardiac surgery. We subsequently collected data on 3955 consecutively enrolled patients after the introduction of the Surgical Safety Checklist. The primary end point was the rate of complications, including death, during hospitalization within the first 30 days after the operation.Results: The rate of death was 1.5% before the checklist was introduced and declined to 0.8% afterward (P=0.003). Inpatient complications occurred in 11.0% of patients at baseline and in 7.0% after introduction of the checklist (P<0.001).Conclusions: Implementation of the checklist was associated with concomitant reductions in the rates of death and complications among patients at least 16 years of age who were undergoing noncardiac surgery in a diverse group of hospitals.N Engl J Med 2009;360:491-9.
